Nicole Mary Cardillo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010301 Issued in PA

Practice address

334 Main St
Dickson City, PA 18519-1620

Phone

(570) 307-1769

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole Mary Schultz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Learning Time Therapy

  • Early Intervention Provider Agency
  • Larksville, PA
  • NPI 1245000801
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013046036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E LUZERNE AVE",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "187041036",
            "telephone_number": "570-288-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191620",
            "telephone_number": "570-307-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDILLO",
        "first_name": "NICOLE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHULTZ",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William E Burdyn, D.M.D
• Laura Burns, OT R/L
• Gina Marie Calavano
• Ignacio Campa-Garcia, PA
• Alfred E Canal, DC
• Sheila C Carluccio, MA
• Alexandra Georgiana Carrick
• Kelsey Powell Casari, CRNP
• Shelby Lynn Casey
• Joseph G Cesare, M.D.

• Occupational Therapist in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.